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DR9001-CS 920206CONTI~.ACTOR'FI AFFIDAVIT OF I~LLS PA~D (To be executed prior to ·cue~tlmce of pro ecl) STA~ OF T~XA~ COUNTY OF DALLAS 'Per~lty, beg"re me ~e undoral~ed monody, m ~t. day ippe~ed G, Mark Cu 11 um . ~o. belnB duly ~, ~ on~. nays ~at he lB ·tept representative of (~ll n~o of ~ntrac~ al in c~trict) ~d ~lt ~ om~ct for ~e ~otmcti~ (~onn~ 1 Skaggs Box Culvert hca berne setishotorlly completed and that ell bills far materiels, apparatus, fixture,, machinery and lm~r used ~ . ce. soft. "' ,e c,,tmcfl, of ,i. project h.ve,, the .~.l.~ .d~liy p.id. ' ~ (~a~ra) President (Title) Sworn to mod eubeorlbed befog0 me thio 19 92 6th bletmotio~te: ·I$ the cm~tr·ctor lo tut Individual. he shxli eisa the affidavit. If the contractor is · permo~hip, soy pm'trier may eisa the affidavit. Ir the c~trac~ ia · cof~oratiort. · person authoflzed by the by-laws or by tho Board of Directors shell aim tho affidavit, if the ~trmctur ia m joint-va"tufa of individuals, say of the individuals may eisa the affidavit. %f the Cof~trmctor lo t ]oint-~entura of partnerships, or et tfldividueia ~nd partnership0, the affidavit may be missed by the Jndlvldum! or may p·tlner of m~y partnership. If the contractor ia m joint-venture in ~A~ich m co~oration tea party, separate xffida~ta suet be executed in the name of the Joint-venture: one by each co~'ppratio~ mod offs by each' individual or parmarship. Si~%tature, for ©orpor~tlor~a should be by a duly muthoflzed officer. If eianmture ia by mo,thor. · showins Of aUthOrity to ai~fl must ·coomrany ~he affidavit.